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将其变为现实:二次研究中个体发现的伦理管理。

Taking it to the bank: the ethical management of individual findings arising in secondary research.

机构信息

Wellcome Centre for Ethics and Humanities, University of Oxford, Oxford, UK

Ethox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

出版信息

J Med Ethics. 2021 Oct;47(10):689-696. doi: 10.1136/medethics-2020-106941. Epub 2021 Jan 13.

DOI:10.1136/medethics-2020-106941
PMID:33441306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8479733/
Abstract

A rapidly growing proportion of health research uses 'secondary data': data used for purposes other than those for which it was originally collected. Do researchers using secondary data have an obligation to disclose individual research findings to participants? While the importance of this question has been duly recognised in the context of primary research (ie, where data are collected from participants directly), it remains largely unexamined in the context of research using secondary data. In this paper, we critically examine the arguments for a moral obligation to disclose individual research findings in the context of primary research, to determine if they can be applied to secondary research. We conclude that they cannot. We then propose that the nature of the relationship between researchers and participants is what gives rise to particular moral obligations, including the obligation to disclose individual results. We argue that the relationship between researchers and participants in secondary research does not generate an obligation to disclose. However, we also argue that the biobanks or data archives which collect and provide access to secondary data may have such an obligation, depending on the nature of the relationship they establish with participants.

摘要

越来越多的健康研究使用“二手数据”:这些数据被用于最初收集目的之外的其他目的。使用二手数据的研究人员是否有义务向参与者披露个体研究结果?虽然这个问题在初级研究(即从参与者那里直接收集数据)的背景下已经得到了适当的认识,但在使用二手数据的研究背景下,它仍然在很大程度上没有得到检验。在本文中,我们批判性地审查了在初级研究背景下披露个体研究结果的道德义务的论点,以确定它们是否适用于二手研究。我们的结论是它们不能。然后,我们提出,研究人员和参与者之间的关系的性质产生了特殊的道德义务,包括披露个体结果的义务。我们认为,在二手研究中,研究人员和参与者之间的关系不会产生披露的义务。然而,我们也认为,收集和提供二手数据的生物库或数据档案可能有这样的义务,这取决于它们与参与者建立的关系的性质。

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Secondary findings in inherited heart conditions: a genotype-first feasibility study to assess phenotype, behavioural and psychosocial outcomes.遗传性心脏疾病中的次要发现:一种基于基因型的可行性研究,以评估表型、行为和社会心理结局。
Eur J Hum Genet. 2020 Nov;28(11):1486-1496. doi: 10.1038/s41431-020-0694-9. Epub 2020 Jul 20.
2
Frequency of genomic secondary findings among 21,915 eMERGE network participants.eMERGE 网络 21915 名参与者中的基因组二级发现频率。
Genet Med. 2020 Sep;22(9):1470-1477. doi: 10.1038/s41436-020-0810-9. Epub 2020 Jun 17.
3
Web-based return of BRCA2 research results: one-year genetic counselling experience in Iceland.基于网络的 BRCA2 研究结果反馈:冰岛一年的遗传咨询经验。
Eur J Hum Genet. 2020 Dec;28(12):1656-1661. doi: 10.1038/s41431-020-0665-1. Epub 2020 Jun 10.
4
The UK Biobank imaging enhancement of 100,000 participants: rationale, data collection, management and future directions.英国生物银行 10 万名参与者的影像增强:基本原理、数据采集、管理和未来方向。
Nat Commun. 2020 May 26;11(1):2624. doi: 10.1038/s41467-020-15948-9.
5
Factors associated with potentially serious incidental findings and with serious final diagnoses on multi-modal imaging in the UK Biobank Imaging Study: A prospective cohort study.与英国生物库影像学研究中多模态影像学上潜在严重偶然发现和严重最终诊断相关的因素:一项前瞻性队列研究。
PLoS One. 2019 Jun 17;14(6):e0218267. doi: 10.1371/journal.pone.0218267. eCollection 2019.
6
Lay Perspectives on Receiving Different Types of Genomic Secondary Findings: a Qualitative Vignette Study.关于接受不同类型基因组二级发现的大众观点:一项定性案例研究
J Genet Couns. 2019 Apr;28(2):343-354. doi: 10.1007/s10897-018-0288-7. Epub 2018 Dec 14.
7
From Genotype to Phenotype.从基因型到表型。
Circ Genom Precis Med. 2018 Oct;11(10):e002316. doi: 10.1161/CIRCGEN.118.002316.
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Impact of detecting potentially serious incidental findings during multi-modal imaging.多模态成像期间检测到潜在严重偶然发现的影响。
Wellcome Open Res. 2017 Nov 30;2:114. doi: 10.12688/wellcomeopenres.13181.3. eCollection 2017.
9
Prevalence and outcomes of incidental imaging findings: umbrella review.偶然影像学发现的患病率和结局:伞式综述。
BMJ. 2018 Jun 18;361:k2387. doi: 10.1136/bmj.k2387.
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"Not pathogenic until proven otherwise": perspectives of UK clinical genomics professionals toward secondary findings in context of a Genomic Medicine Multidisciplinary Team and the 100,000 Genomes Project.“除非有证据证明无害”:英国临床基因组学专业人员对基因组医学多学科团队和 10 万基因组计划背景下的次要发现的看法。
Genet Med. 2018 Mar;20(3):320-328. doi: 10.1038/gim.2017.157. Epub 2017 Oct 26.